First Name *

Last Name *

City *

State *

Email *

Occupation
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Cell Phone *

Are you 18 older? *

Is the other person in your relationship 18 or older? *

What is the name of your partner? *

Phone number for partner: *

Email address for partner: *

Please tell us a bit about your story and your partner. How long have you known each other? When did it become a “relationship”? How serious is your relationship, now? (I.E. Do you use BF/GF titles? Have you said “I love you”? Have they said “I love you”? Do you talk about the future and marriage? Children?) * *

Do you have reason to believe your partner is hiding something or someone significant from you? If so, what led you to feel this way? * *

If you found out that your partner was cheating and were given the opportunity to meet their lover, would you? If so, how would you react? Would you team up with their lover and confront your partner? Would you prefer to confront your partner and their lover in an undercover ambush? Please explain? *

Are there any significant secrets you are also hiding from your partner? If so, how will this affect the relationship? *

If your partner decides to reveal a significant secret, are there any relationship “deal-breakers” for you? *

Have you ever applied to another TV show? If so, what show was it and when? What was your role on the show? *

Who led you to our application? *

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Please attach a CURRENT photo from your chest up. No filters, hats, or sunglasses, please. *